| NPI | 1104041292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. COUNCIL Owner 501-776-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-09-23 |